Delafield Rebecca, Hermosura Andrea Nacapoy, Ing Claire Townsend, Hughes Claire K, Palakiko Donna-Marie, Dillard Adrienne, Kekauoha B Puni, Yoshimura Sheryl R, Gamiao Shari, Kaholokula Joseph Keawe
Prog Community Health Partnersh. 2016;10(4):585-595. doi: 10.1353/cpr.2016.0067.
Dissemination is a principle within community-based participatory research (CBPR); however, published research focuses on the dissemination of findings from CBPR projects but less on dissemination of interventions developed through CBPR approaches. To disseminate an evidence-based lifestyle intervention tailored for Native Hawaiians and other Pacific Islanders, the PILI 'Ohana Project (POP), an 11-year CBPR initiative, developed an innovative dissemination model.
The community-to-community mentoring (CCM) model described in this paper extends the application of CBPR values and principles used in intervention development to intervention dissemination.
The CCM model combines a CBPR orientation with the diffusion of innovation theory, the social cognitive theory, and key concepts from community organizing and community building to address the multilevel factors that influence uptake of an evidence-based intervention (EBI). Grounding the model in CBPR principles provides benefits for intervention dissemination and integrates a focus on community benefits and capacity building.
By establishing co-equal, mutually beneficial relationships at the core of the CCM model, opportunities are created for building critical consciousness, community capacity, and social capital. More research is needed to determine the effectiveness of this model of intervention dissemination which may enhance diffusion of CBPR interventions and empower communities in the process.
传播是基于社区的参与性研究（CBPR）中的一项原则；然而，已发表的研究主要关注CBPR项目研究结果的传播，而较少关注通过CBPR方法开发的干预措施的传播。为了传播一项为夏威夷原住民和其他太平洋岛民量身定制的循证生活方式干预措施，为期11年的CBPR倡议——皮利奥哈纳项目（POP）开发了一种创新的传播模式。
本文所述的社区对社区指导（CCM）模式将干预措施开发中使用的CBPR价值观和原则的应用扩展到干预措施的传播。
CCM模式将CBPR导向与创新扩散理论、社会认知理论以及社区组织和社区建设的关键概念相结合，以解决影响循证干预措施（EBI）采用的多层次因素。将该模式建立在CBPR原则基础上，有利于干预措施的传播，并将重点放在社区利益和能力建设上。
通过在CCM模式的核心建立平等、互利的关系，为培养批判性意识、社区能力和社会资本创造了机会。需要更多研究来确定这种干预措施传播模式的有效性，这可能会促进CBPR干预措施的扩散，并在此过程中增强社区的能力。
